Izol Volkan, Eken Alper, Aridogan I Atilla, Koltas Soner, Tansug Zuhtu
Cukurova University, Medical Faculty, Department of Urology, Adana, Turkey;
Can Urol Assoc J. 2012 Oct;6(5):E192-4. doi: 10.5489/cuaj.11154.
Urinary hydatidosis is very rare and represents 2% to 4% of all cases of cystic echinococcosis. We present a case of a 21-year-old man with symptoms of frequency, urinary retention and reduced force in urinary stream due to cystic echinococcosis. Anti-Echinococcus granulosus antibodies were determined by echinococcosis western blotting, and pelvic computed tomography revealed a 11 × 14 × 10-cm retrovesical homogeneous cystic mass. The patient underwent surgical intervention; the cystic mass and retrovesical cavity were removed. After a 3-year follow-up period, there was no episode of lower urinary tract symptoms. This case illustrates that cystic echinococcosis should be considered in every case of cystic mass, especially in endemic countries, such as Turkey.
尿包虫病非常罕见,占所有囊性棘球蚴病病例的2%至4%。我们报告一例21岁男性患者,因囊性棘球蚴病出现尿频、尿潴留和尿流力量减弱症状。通过棘球蚴病免疫印迹法测定抗细粒棘球绦虫抗体,盆腔计算机断层扫描显示膀胱后有一个11×14×10厘米的均匀囊性肿块。患者接受了手术干预,切除了囊性肿块和膀胱后腔。经过3年的随访期,未出现下尿路症状发作。该病例表明,对于每一例囊性肿块患者,尤其是在土耳其等流行国家,都应考虑囊性棘球蚴病。